Association of digital health literacy, health lifestyles and psychological resilience among undergraduate nursing students in China: A cross-sectional study

Abstract Background:Digital health literacy plays a crucial role in people's access to reliable information and making health-related decisions. While the levels of digital health literacy in the general population have been widely studied, there is limited research on the status of digital health literacy among undergraduate nursing students in China. Objective: This study aims to understand the levels of digital health literacy among undergraduate nursing students in China and its associated influencing factors. Methods:Employing a descriptive cross-sectional research design, eligible Chinese nursing undergraduates were surveyed from June to October 2023. The College Students' Digital Health Literacy Scalewas used to assess the digital health literacy levels of undergraduate nursing students in China. Results: A total of 373 undergraduate nursing students were included. The digital health literacy score was 74.78±8.44, the health lifestyles score was 127.14±11.22, and the psychological resilience score was 79.21±11.02. Pearson correlation analysis results indicated a positive correlation between the digital health literacy of Chinese nursing undergraduates and their health lifestyles and psychological resilience. The results of multiple linear regression analysis showed that volunteer activity experience, academic performance, physical fitness, psychological traits, health lifestyles and psychological resilience are the influencing factors of digital health literacy of undergraduate nursing students in China (P < 0.05). Conclusions: The digital health literacy of undergraduate nursing students in China is at a moderate level. There is a correlation between the digital health literacy of nursing undergraduates and their health lifestyles and psychological resilience. Future research should consider interventions in digital health literacy for undergraduate nursing students in China from the perspectives of health lifestyles and psychological resilience.